[1]向文娟.子宫动脉栓塞联合清宫术治疗子宫瘢痕妊娠的 疗效观察[J].中国计划生育和妇产科,2016,(12):55- 57,65.
　XIANG Wen-juan.Curative effect of uterine artery embolization combined with curettage for the treatment of scar pregnancy[J].Chinese Journal of Family Planning & Gynecotokology,2016,(12):55- 57,65.
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子宫动脉栓塞联合清宫术治疗子宫瘢痕妊娠的 疗效观察
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2016年12期
页码:
55- 57,65
栏目:
论著与临床
出版日期:
2016-12-30

文章信息/Info

Title:
Curative effect of uterine artery embolization combined with curettage for the treatment of scar pregnancy
作者:
向文娟
成都市妇女儿童中心医院手术室
Author(s):
XIANG Wen-juan
Operating room，Women and Children’s Central Hospital of Chengdu，610031 Chengdu Sichuan，P.R.China
关键词:
子宫动脉栓塞; 清宫术; 子宫瘢痕妊娠; 血人绒毛膜促性腺激素; 甲氨蝶呤
Keywords:
uterine artery embolization;  uterine curettage;  uterine scar pregnancy;  β-HCG;  methotrexate
分类号:
R 713.8
摘要:
目的探讨子宫动脉栓塞联合清宫术治疗子宫瘢痕妊娠(cesarean scar pregnancy, CSP)的疗效。方法将2014年8月至2015年10月间成都市妇女儿童中心医院69例CSP患者根据患者的具体病情和治疗方法的不同分成两组，研究组35例采用子宫动脉灌注甲氨蝶呤（methotrexate，MTX）+动脉栓塞+清宫术治疗；对照组34例采用MTX肌注+米非司酮口服+清宫术治疗；对比两组手术一般情况（成功率、手术时间、术中出血量、住院时间及费用），随访3个月，观察患者术后恢复情况。结果研究组手术成功率（100 %）高于对照组（7647 %），差异有统计学意义(P<005）；研究组清宫术的时间间隔、术中出血量及住院时间低于对照组（P<005）；研究组住院费用高于对照组（P<0.05）；研究组阴道流血时间、月经恢复正常时间、血人绒毛膜促性腺激素恢复正常时间均低于对照组（P<005）。结论子宫动脉栓塞联合清宫术治疗CSP，手术成功率高，手术创伤较小，术后患者恢复较快。
Abstract:
ObjectiveTo investigate the efficacy of uterine artery embolization combined with curettage for the treatment of scar pregnancy. Methods69 cases of uterine scar pregnancy patients hospitalized in Women and Children’s Central Hospital of Chengdu from August 2014 to October 2015 were selected, according to the patients’ specific condition and treatment methods they were divided into two groups. Study group were given treatment of uterine artery infusion with MTX, arterial embolization and curettage; control group were treated with MTX intramuscular injection，mifepristone and uterine curettage. The two groups were compared with general conditions (success rate, operation time, blood loss, hospitalization time and cost). After 3 months follow-up, the recovery of patients was observed. ResultsThe success rate of surgery in the study group (100%) was significantly higher than that in the control group (7647%). There was a significant difference (P<005). The time interval of uterine curettage, the amount of bleeding and hospitalization time was significantly lower than the control group. (P<005). The hospitalization costs of the study group were significantly higher than that of the control group (P<005). In the study group, vaginal bleeding time, menstrual recovery time and blood human chorionic gonadotropin (β-HCG) recovery time were significantly lower than the control group (P<005). ConclusionUterine artery embolization combined with curettage surgery in the treatment of uterine scar pregnancy, with good surgical success rate and less surgical trauma, can faster recovery postoperative.

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更新日期/Last Update: 2016-12-25